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Nursing Facility Onsite Acute Care, Pneumonia

California rates for HCPCS G9679

Onsite acute care treatment of a nursing facility resident with pneumonia. May only be billed once per day per beneficiary

Rates data updated July 2026.

How much does Nursing Facility Onsite Acute Care, Pneumonia cost?

$93.33

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $77.62 to $100.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $100Professionalmedian $93 · 10th to 90th $72 to $129
$100$200facility $100professional $93

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where California sits

The same service costs 2511886.4 times more in New York than in Tennessee. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 13th of 31

$93.33

NY $50,119TN $0.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.